• Title/Summary/Keyword: BMD

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Effect of Dietary, Biochemical and Other Factors on Bone Mineral Density Change for 2 Years in Korean College Women (한국 여대생의 2년간의 골밀도 변화와 이에 영향을 미치는 요인 분석)

  • 송윤주;백희영
    • Journal of Nutrition and Health
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    • v.36 no.2
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    • pp.175-182
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    • 2003
  • This study was conducted to examine whether bone mineral density changes in 55 young Korean college women aged 19 to 26 years over 2 years and nutritional and biochemical factors are related. Bone mineral density (BMD) was measured in the spine (LS), femoral neck (FN), ward's triangle (WT), and femoral trochanter (FT) by dual energy X-ray absorptiometry three times at one-year intervals. Serum osteocalcin (OC), parathyroid hormone (PTH), and urinary cross-linked N-teleopeptides of type collagen (NTx) were measured. Dietary intake was assessed 8 times with 24-hour recall method. Physical activity (PA) was obtained by questionnaire and body fat content was measured by bioelectrical impedance analysis at baseline and after 2 years. Analyses were performed on 34 subjects with all three BMD measurements. The BMDs at the lumbar spine gradually increased over 2 years, while the BMDs of three sites at the femur were sustained or increased. The mean OC, PTH had a similar pattern with the change of BMD at the femur. The mean NTx decreased over 2 years but was still higher than those in other studies. BMI, body fat, vitamin A and zinc intake had a significant correlation with LS-BMD. Femur, PTH, body fat, vitamin A, vitamin B$_2$and calcium intake had a significant correlation with WT-BMD and was mostly influenced by diet. By multiple regression analysis, it was shown that the significant factors affecting the LS-BMD were BMI and vitamin A intake and those affecting FN and WT were age, BMI, PTH and calcium intake. These results indicate that some Korean women still experience increases in BMD and that this was associated with PTH and vitamin A and calcium intake. Therefore, proper diet and diet management is needed to increase changes in BMD among college women.

Development of a Femur Neck Bone Mineral Density Measuring Device for Accurate Examination

  • Han, Man-Seok;Seo, Sun-youl;Kim, Yong-Kyun;Jeon, Min-Cheol;Lee, Hyun-kuk;Yoo, Se-Jong
    • Journal of Magnetics
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    • v.21 no.2
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    • pp.298-302
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    • 2016
  • In bone density examinations, a change in the measured BMD occurs owing to the differences between the measured areas. To address this problem, we aimed to develop a new auxiliary device that could be rotated by $15^{\circ}$ by fixing the ankle to the distal femur neck. Dual energy X-ray absorptiometry (DXA) of BMD examinations were performed once a year, but 10 patients were examined over three sessions to analyze the area for measuring the femur neck BMD. The goal of this test was to determine the device's reliability, and the results were expressed in terms of the standard deviation of measurements. After performing bone density measurements using the new auxiliary device on 10 normal patients, with three measurements for each patient, the obtained standard deviation was 0.03. The standard deviation of the measured BMD was 0.19 when using the currently existing auxiliary device, while the standard deviation of the measured BMD was 0.03 when using the new auxiliary device. By using the new auxiliary device, the standard deviation could be reduced by ~80%. Accurate rotation of the femur neck was possible in all examinations, and the standard deviation of BMD measurements could be reduced by up to 80% compared with the measurements performed using the currently existing auxiliary device. We hope that this advantageous new design can be used as a standard auxiliary device for measuring the femur neck BMD.

Gender Differences in Bone Mineral Density-Related Factors among Adults: Based on the Korean National Health and Nutrition Examination Survey 2010-2011 (성인의 골밀도 관련요인에 대한 성별차이: 국민건강영양조사 자료[2010-2011년] 활용)

  • Kim, Hyejung;Lee, Haejung;Lim, Yeonjung
    • Journal of Korean Biological Nursing Science
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    • v.19 no.4
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    • pp.241-251
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    • 2017
  • Purpose: This study aimed to examine the factors related to the bone mineral density (BMD) in male and female adults aged 50 years or older. The factors included were socio-demographics, body mass index (BMI), blood pressure, blood lipids, and health habits. Methods: As a secondary data analysis, this study used raw data from the 5th Korean National Health and Nutrition Examination Survey, and selected 2,295 adults aged over 50 years who participated in the survey and had BMD values. The T-score of the femoral neck was evaluated for BMD. Data were analyzed using descriptive statistics, ANOVA and multiple regression. Results: The factors influencing the BMD in men were age (${\beta}=-.029$, p<.001), BMI (${\beta}=.100$, p<.001), triglyceride (${\beta}=-.001$, p=.001), and calcium (${\beta}=.001$, p=.003), and the suggested regression equation explained 25.6% of the variance in BMD (F=16.32, p<.001). The factors related to BMD in women were age (${\beta}=-.060$, p<.001), BMI (${\beta}=.091$, p<.001), total cholesterol (${\beta}=-.002$, p=.028), HDL cholesterol (${\beta}=.009$, p=.001), and calcium (${\beta}=.001$, p=.004), and the suggested regression equation explained 47.0% of the variance in BMD (F=61.72, p<.001). Conclusion: Based on the findings of this study, the modifiable factors, such as BMI, blood cholesterol, and calcium, should be targeted to improve the BMD in both men and women.

Correlation Between Body Composition, Lipid Metabolic Indicator and Bone Mineral Density in Old Patients (노인의 체성분 및 지방대사와 골밀도의 상관관계)

  • Yang, Jae-Sun;Han, Myung-Geum;Jung, Sang-Pil;Kang, Jeong-Ran;Song, Yung-Sun;Kim, Jeong-Hwan
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.11 no.2
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    • pp.32-39
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    • 2005
  • Objectives To observe relationship between BMD(BMD; bone mineral density) and lipid metabolic indicator which consists of cholesterol, HDL(HDL; high density lipoprotein), Trigliceride which influenced by BMI(BMI; body mass index), BFR(body fat rate) indirectly and directly in both ways. Methods Among 120 old patients aging above 65 who admitted to Dep. of Oriental Rehabilitation, Jeon-Ju Oriental Medical Hospital, Won Kwang University in order to prevent demetia and CVA from Mar. 2004 to May 2005 correlationship between BMI, BFR, BMD etc. and lipid metabolic indicator was statistically analysed. Results BMD of male patient was higher than that of female patients and body weight, height, BFR, BMI was significantly related to BMD as well. Relationship between Total Cholesterol, HDL, Triglyceride and BMD was not significant. Conclusions From the above results, Relationship between Total Cholesterol, HDL, Triglyceride and BMD was not significant.

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Fear of Falling and Falls Efficacy with Bone Mineral Density in the Middle and Old Aged Women (재가 중.노년 여성의 골밀도와 낙상두려움 및 낙상효능감에 관한 연구)

  • Lee, Hea-Young;Bak, Won-Sook;Yang, Hyung-In
    • Journal of muscle and joint health
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    • v.16 no.1
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    • pp.5-12
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    • 2009
  • Purpose: The purpose of this study was to investigate bone mineral density(BMD) and fear of falling and falls efficacy in the middle and old aged women over 50 years. Methods: The subjects consisted of 409 women. One-way ANOVA, Pearson's correlations and multiple regression were used to test the BMD, fear of falling and falls efficacy scale by using SPSSWIN 12.0. The BMD of the calcaneus were measured with peripheral dual energy x-ray absorptiometry(DEXA). Results: The average age was 63 years old and the average T-score was -3.21 in patient with osteoporosis, -1.72 with osteopenia, and .13 with normal. There were significant differences in the status of the BMD according to age(p=.000), height(p=.000), weight(p=.000), married status(p=.000), age of menarche(p=.002), and menopause(p=.002). The fear of falling was related with falls efficacy(r=-.247, p=.01), BMD(r=-.337, p=.01). Falls efficacy($\beta$=-.21, p=.000)and BMD($\beta$=-.26, p=.000) were predicting variables of fear of falling. The model explained 13% of the variance in fear of falling(F=27.38, p=.000). Conclusion: Fear of falling and falls efficacy were related with the bone mineral density. Falls efficacy and BMD may be useful for the predicting fear of falling for women in middle and old age. Further studies with assessment of fall-related risk-factors and a longitudinal study are necessary to assess with falls efficacy, and BMD with age.

Effects of acupuncture on bone mineral density in ovariectomized rats (자극(刺鍼)이 난소(卵巢)를 절제(切除)한 흰쥐의 골밀도(骨密度)에 미치는 영향(影響))

  • Kim Mi-Ryeo;Yang Chae-Ha
    • Journal of Acupuncture Research
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    • v.15 no.2
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    • pp.279-285
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    • 1998
  • Effects of acupuncture at Sanyinjiao(SP6) and Yanglingquan(GB34) on bone mineral sensity(BMD) was investigated in ovariectomized(OVX) rats. BMD of OVX rats was measured left femur and tibia 2 and 4 weeks after acupuncture stimulation, respectively. Compared with sham-operated rats, a significant decrease in spine, pelvic and left femoral and tibial BMD was observed 2 and 4 weeks after OVX, respectively. In contrast, a significant increase of spinal, pelvic and left femoral and tibial BMD was elicited 2 and/or 4 weeks after acupuncture stimulation, respectively. These results show the possibility that acupuncture can play a role of ameliorating osteoporosis by elevating serum levels of female hormones related with bone metabolism.

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BMD Analysis according to the Obesity Index in a Group of Adults (비만도에 따른 성인들의 집단별 골밀도 분석)

  • Kim, Sun-Geun;Kweon, Dae-Cheol;Oh, Chan-Ho;Song, Woon-Heung
    • Korean Journal of Digital Imaging in Medicine
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    • v.10 no.1
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    • pp.51-58
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    • 2008
  • Obesity which causing many physical and psychological problems is difficult to treatment. The purpose study was investigate relationships between weight, height, body mass index (BMI) and BMD of according to the low, normal, over, obesity, high group. According to obesity index, each group was divided into five proup. Study subjects were man(n=135) and woman(n=145). We checked the BMD of femoral neck and lumbar spine by using dual energy X-ray bone densitometry. Weight was positively correlation with height (p<0.05) by Pearson's correlation matrix. There was a significant difference in BMD of femoral neck and lumbar spine between four(low, normal, over, obesity) groups except for high obesity groul.

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Estimating Permissible Intake Level for Endosulfan Using Benchmark Dose based on Reproductive Tonicity (생식독성과 Benchmark Dose를 활용한 Endosulfan의 노출허용수준 산출)

  • 이효민;윤은경;염영나;황명실;양기화;신효선
    • Toxicological Research
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    • v.18 no.1
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    • pp.65-71
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    • 2002
  • A benchmark dose (BMD) approach has been evaluated us a replacement for the traditional NOAEL methodology currently being wed to assess the noncancer effects of toxicants. The endocrine disrupt-ing effect of endosulfan which showed decrement of sperm count and testicular testosterone level in animals, was currently reported. The amount of endosulfan used as pesticide in the country has been continuously increased. The aim of this study was to suggest the permissible intake level (PIL), corresponding to Accept-able Daily Intake (ADI), based on endocrine disrupting effect wing BMD. Various animal data were collected by consideration of critical effect showing endocrine disruption and an animal data for reproductive toxicity was selected. The Power model from BMD software for induction of $BMD_10$ having meaning which is the dose at the 95% lower confidence limit on a 10% response was used due to that the form of selected dose-response animal data was continuous data. The $BMD_10$ was estimated to be 0.393 mg/kg/day based on reproductive toxicity showing decrement of sperm count. The permissible intake level (PIL) was calculated by dividing the $BMD_10$ by the uncertainty factors of 100 with consideration of from animal to human and human variability. The PIL as 0.004 mg/kg/day was compared with traditional ADI as 0.006 mg/kg/day based on the incidence of marked progressive glomerulonephrosis and blood vessel aneurysm in males.

A Study on Correlation between the Blood Pressure and Bone Mineral Density or Body Mass Index (혈압에 따른 골밀도와 체질량 지수와의 상관관계 연구)

  • Ju, Jeong-Yong;Song, Beom-Yong;Yook, Tae-Han
    • Journal of Acupuncture Research
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    • v.26 no.5
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    • pp.1-10
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    • 2009
  • Objectives : This study was conducted to investigate how Bone Mineral Density(BMD) and bone mass index(BMI) differ according to classification of blood pressure which JNC 7(The seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure) indicated. Methods : We measured BMD and BMI of lumbar spine($L_2-L_4$) and femoral neck of 9816 people, and then we analyzed them according to classification of blood pressure. Results : The number of prehypertension group was the most, and Stage 2 hypertension group was the least. As the hypertension was increasing, BMD of lumbar and femoral neck were decreasing, and BMI was increasing. In men, as the blood pressure was increasing, BMI was increasing. But the BMD was irrelevant. In women, the distribution was similar to the total. Conclusions : As the hypertension was increasing, BMI was increasing and BMD was decreasing. And it was more remarkable in women.

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Relationship among Bone Mineral Density, Body Composition, and Metabolic Syndrome Risk Factors in Females

  • Kim, Tai-Jeon;Cha, Byung-Heun;Shin, Kyung-A
    • Biomedical Science Letters
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    • v.16 no.3
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    • pp.169-177
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    • 2010
  • Osteoporosis is a disease that increases the fracture rates and a major cause of increased mortality and morbidity in the elderly people. This study is to determine which components of body composition and metabolic syndrome risk factors are important to bone health, we analysed the relationship among bone mineral density (BMD), body composition and metabolic syndrome risk factors in females. Totally 630 females participated in a medical check-up program (mean age 47 years) were selected for this study. Body composition analysis was performed by segmental bioelectrical impedance method, muscle mass, and percent body fat were measured. We also measured metabolic syndrome risk factors including abdominal obesity, HDL-cholesterol, triglyceride, blood pressure and fasting glucose level. Metabolic syndrome was defined by NCEP-ATP III criteria. The lumbar spine and femoral neck BMD were measured using the dual energy X-ray absorptiometry. Osteopenia and osteoporosis were observed in 180 and 51 persons, respectively. Muscle mass and HDL-cholesterol decreased in osteopenia and osteoporosis groups compared to the control group, and the grade was shown progressively by the symptoms. Significant positive correlation between BMD and muscle mass was observed. Multi variable regression analyses showed that % body fat and muscle mass were independent predictors of BMD after adjustment of age, height and weight. In conclusion, the BMD showed negative correlation with the metabolic and body composition was associated with BMD.